Comparing the Effective of Time Perspective Therapy and Positive Thinking Training on Subjective Well-being, Functional Flexibility and Psychological Coherence in Patients with Type 2 Diabetes

Subject Areas : Health

Nasrin Zabihi ¹ , Taher Tizdast ² , Mohammad Reza Zarbakhsh Bahri ³

1 - Health Psychology, Department of Phsycology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.
2 - Associate professor of Department of Phsycology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
3 - Associate professor of Department of Phsycology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran.

Received: 2022-12-16 Accepted : 2023-02-19 Published : 2024-09-25

Keywords: time perspective therapy, positive thinking training, subjective well-being, functional flexibility, psychological coherence, type 2 diabetes,

Abstract :

The main aim of the research was to determine the difference in the effectiveness and durability of the effect of time perspective therapy and positive thinking training on mental well-being, functional flexibility and mental cohesion in patients with type 2 diabetes. Semi-experimental research was pre-test, post-test and follow-up stage after two months. The statistical population of all patients with type 2 diabetes who referred to the Mashhad Diabetes Prevention and Control Foundation in the summer of 2019. The data were collected using the subjective well-being scale (Keyes & Magyarmo, 2003), the functional flexibility questionnaire (Conover & Davidson, 2003) and the sense of coherence questionnaire (Antonovsky, 1987) and were analyzed with the analysis of covariance test. Out of 121 people who were selected through available sampling, 45 people were randomly selected and randomly replaced in 3 groups of 15 people. The two experimental groups of time perspective therapy and positive thinking training received 10 treatment sessions (90 minutes) and the control group did not receive any intervention. Then the post-test phase and 2 months follow-up were performed. The results showed that the effectiveness of time perspective therapy on mental well-being (p<0.01) and psychological coherence (p<0.01) was more than that of functional flexibility and the effectiveness of positive thinking training on functional flexibility (p<0.01). Also, there was a statistically significant difference in the effectiveness of time perspective therapy and positive thinking training on the subjects' mental well-being, functional flexibility and psychological coherence in the follow-up phase (p<0.01).

References:

Abdollahzadeh, B., & Tajri, B. (2019). The mediating role of social problem solving styles in the relationship between quality of life and time perspective in college students. Quarterly Journal of Psychological Studies and Educational Sciences, 1, 171-151. (In Persian)
Alijani, S., Akrami, N., & Faqih Imani, E. (2015). The effectiveness of lifestyle modification training on psychological symptoms and blood sugar control in patients with type 2 diabetes, Journal of Behavioral Science Research. 13(4), 562-571. (In Persian)
Alipour, A., & Sharif, N. (2012). Checking the validity and reliability of the sense of coherence questionnaire in students. Researcher Journal (Research Journal of Shahid Beheshti University of Medical Sciences), 17th year, 1(85): 56-50. (In Persian)
Alipour, F., Hasani, J., Oshrieh, V., & Saeedpour, S. (2015). Brain-behavioral systems and psychological distress in patients with diabetes mellitus: A comparative study. Caspian Journal of Neurological Sciences .20-29,(2),1
Amiri, I., & Mohammadi, R. (2015/1394). The effectiveness of time perspective training on psychological well-being and academic progress of male high school students in Lordegan city. Master's Thesis, Islamic Azad University, Khomeini Shahr Branch, Faculty of Psychology and Counseling. (In Persian)
Antonovsky, A. (1993). The structure and properties of the sense of coherence scale. Journal of Med.36(6), 725- 33
Appiah, R., Wilson‐Fadiji, A., Schutte, L., & Wissing, M.P. (2020). Effects of a Community‐Based Multicomponent Positive Psychology Intervention on Mental Health of Rural Adults in Ghana. Applied Psychology: Health and Well‐Being, 12(3), 828-862.
Arce, E., Simmons. A.N., Stein. M.B. Winkielman. P., Hitchcock, C., Paulus, M.P. (2008). Association between individual differences in self – reported emotional resilience and the affective perception of neutral faces. Journal of Affective Disorders. 13(4).561-578.
Asarzadegan, M., & Raisi, Z. (2019). The effectiveness of education based on positive psychology on psychological well-being and its dimensions in patients with type 2 diabetes. Diabetes Nursing Quarterly. 7 (2), 793-808. (In Persian)
Aulia, R., & Widyana, R. (2022). Positive thinking training in reducing stress for people with hypertension. Insight: Jurnal Ilmiah Psikologi, 24(1), 139-151.
Benisi, P. (2019). The effectiveness of positivity training on mental well-being, positive excitement and self-management ability of elderly women. Psychology of Aging, 5(3), 217-227. (In Persian)
Benze, T., Angst, F., Lehmann, S., & Aeschimann, A. (2014). Association of the sense of coherence with physical and psychosocial health in the rehabilitation of osteoarthritis of the hip and knee: a prospective cohort study. BMS Musculoskeletal Disorders, 14(159),1-9.
Bianco, A., Pomara, F., Thomas, E., Paoli, A., Battaglia, G., Petrucci, M., et al. (2013).Type 2 diabetes family histories, body composition and fasting glucose levels: a cross section analysis in healthy sedentary male and female. Iran J Public Health, 42(7), 681–90.
Bilicha, P. N., Nashori, F., & Sulistyarini, I. (2022). Positive thinking training for improving self-acceptance of children in correctional facility. Jurnal Ilmiah Psikologi Terapan, 10(2), 89-93.
Boniwell, I., & Zimbardo, P.G. (2004). Balancing time perspective in pursuit of optimal functioning. Positive psychology in practice, 10, 165-180
Carr, A. (2004). Positive psychology. Translated by M, Kalantari, third edition, Isfahan, Isfahan University. (2012/1391) (In Persian)
Carr, A., Cullen, K., Keeney, C., Canning, C., Mooney, O., Chinseallaigh, E., & O’Dowd, A. (2020). Effectiveness of positive psychology interventions: a systematic review and meta-analysis. The Journal of Positive Psychology, 13(4), 1-21.
Conner, K.M., & Davidson, j.R.T. (2003). Development of a new resilience scale: The conner–davidson resilience scale (CD-RISC). Depression and Anxiety, 18, 76-82
Dargahi, S.; Mohsenzadeh, F., & Zahrakar, K.. (2014). the effect of positive thinking skill training on well-being
De Jonge, P., Alonso, J., Stein, D. J., Kiejna, A., Aguilar-Gaxiola, S., Viana, M.C., . . . Scott, K.M. (2014). Associations between DSM-IV mental disorders and diabetes mellitus: a role for impulse control disorders and depression. Diabetologia, 57(4), 699-709.
Desmyter, F., & De Raedt, R. (2012). The relationship between time perspective and subjective well-being of older adults. Psychologica Belgica, 52(1), 19-38.
Ebrahimi, S., Hemtai Maslakpak, M., & Mahmoudfakhe, H. (2020). Investigating the effect of positive thinking skills training on the self-efficacy of patients with type 2 diabetes referred to the diabetes clinic of Imam Khomeini Hospital in Mahabad in 2018-2019. Journal of Nursing and Midwifery. 18 (12), 955-942. (In Persian)
Eslami Harvan, K., Saberi, H., & Mirhashemi, M. (2019). Investigating the effect of personality traits and self-actualization on employees' mental well-being. Journal of the Faculty of Medicine, Mashhad University of Medical Sciences. 62(2), 13-43. (In Persian)
Ferest, M., Williams, J., Spitzers, R., & Renda, C. (2015). Structured Clinical Interview for Mental Disorders SCID-5-CV DSM5 Manual Clinical Edition. Tehran, Ibn Sina Publications. (2019) (In Persian)
Forman, L. (2009). Positive psychology in the workplace. (Electronic version). Journal of Psychology Department, 2, 185-169.
Fredrickson, B.L. (2001). The role of positive emotions in positive psychology: the broadenand-build theory of positive emotions. Am Psychol ,(56), 218-226.
Gács, B., Birkás, B., & Csathó, Á. (2020). Time perspectives and pain: Negative time perspective profile predicts elevated vulnerability to pain. Personality and Individual Differences, (153), 109616.
Garcia-Perez, L. E., Alvarez, M., Dilla, T., Gil-Guillen, V., & Orozco-Beltran, D. (2013). Adherence to therapies in patients with type 2 diabetes. Diabetes Ther, 4(2), 175-194
Ge, J., Yang, J., Song, J., Jiang, G., & Zheng, Y. (2020). Dispositional Mindfulness and Past-Negative Time Perspective: The Differential Mediation Effects of Resilience and Inner Peace in Meditators and Non-Meditators. Psychology Research and Behavior Management, (13), 397.
Ghasemi, N., Gooderzi, M., Ghadampour, E., & Gholamrezaei, S. (2019). The effectiveness of positive psychotherapy on time perspective, optimism and emotional well-being of female students with depressive disorder symptoms. Women and Family Studies, 7(2), 157-182. (In Persian)
Ghasemi, N. & Qureshian, M. (2010). Positive psychology, a new psychological approach to human nature. Ravan New Quarterly 15 (51 and 52) 114-198(In Persian)
Golestani Bakht, T. (2007). Presenting a model of mental well-being and happiness in the population of Tehran. Doctoral thesis of Clinical Psychology, Al-Zahra University. (In Persian)
Hadian Fard, H., Rezaei, F., & Hosseini Ramghani, N. (2020). Examining the role of childhood injuries, time perspective and experiential avoidance in post-traumatic stress disorder, responsible use of structural equations, Armaghane Danesh, Yasouj University of Medical Sciences Scientific Research Journal, 25(2), 11-34. (In Persian)
Hashemian, K., Pourshahriari, M., & Golestani Bakht, T. (2007), investigating the relationship between demographic characteristics and mental well-being and happiness in the population of Tehran, Journal of Psychological Studies, No. 3, Volume 3. 41-55. (In Persian)
Heidary, Mousavi Jazayeri, Imam, Pour Moghadam, & Hosseini (2012/1391). Type 1 diabetes, November, 1(3), 12-23. (In Persian)
Janabadi, H., & Jafarpour, M. (2019). Effectiveness of time perspective therapy on psychological coherence and perceived stress of mothers of students with learning disabilities. Journal of learning disabilities. 9(1). 52-70. (In Persian)
Jeevitaa, S., Krishna, R., Kashinath, G.M., Nagaratna, R., & Nagendra, H.R. (2014). Mindfulness and impulsivity in diabetes mellitus. The International Journal of Indian Psychology, 2(1), 95-101
Kazakina, E. (2013). Time perspective of older adults: Research and clinical practice. In International studies in time perspective. Impresa da Universidade de Coimbra.
Keyes, C.L.M. 2004. The mental Health continuum: from languishing to flourishing in life. Journal of health and social reasearch. 43,207-222.
Khodayari Fard, M., & Ghobari Banab, B. (2011). Constructing and examining the psychometric properties of the positivity scale, unpublished research project, Faculty of Psychology and Educational Sciences, University of Tehran. (In Persian)
Klussman, K., Nichols, A. L., Langer, J., Curtin, N., & Lindeman, M. I. H. (2022). The Relationship between Mindfulness and Subjective Well-Being: Examining the Indirect Effects of Self-Connection and Meaning in Life. Applied Research in Quality of Life, 14(3). 1-21.
Kuan, T.Y.J., & Zhang, L.F. (2022). Educating students about time perspective and its effect on subjective well-being. Educational Psychology, 42(5), 644-668.
Lakani, N., &Akbari, B. (2021). The effectiveness of positive psychotherapy on emotional regulation, cognitive flexibility and mental happiness of students addicted to the Internet. Journal of the Faculty of Medicine of Mashhad University of Medical Sciences, 64(3), 45-36. (In Persian)
Lang, F.R., & Carstensen, L.L. (2002). Time counts: Future time perspective, goals, and social relationships. Psychology and Aging, 17(1), 125–139. https://doi.org/10.1037/0882-7974.17.1.125
Lindekilde, N., Nefs, G., Henriksen, J. E., Lasgaard, M., Schram, M., Rubin, K., . . . Pouwer, F. (2019). Psychiatric disorders as risk factors for the development of type 2 diabetes mellitus: an umbrella review protocol. BMJ Open, 9(5),34-48.
Lyubomirsky, S., King, L., & Diener, E. (2005). The Benefits of Frequent Positive Affect: Does Happiness Lead to Success?. Psychological Bulletin, 131 (6), 803-855.
Malekiha, M., & Moradi, B. (2019/1398). The effectiveness of the perspective of time therapy on increasing the happiness and psychological well-being of veterans with PTSD. Journal of Veteran Medicine, No. 44, 159-154. (In Persian)
Magyar Moe, J. (2009). Positive psychology interventions: A therapist's guide. Translated by A. Foroghi; J. Aslani and S. Rafiei, Tehran, Arjamand Publications. (2014) (In Persian)
Maslow, A. H. (1970). Motivation and personality (2nd ed.). New York, Harper & Row.
Meldgaard, J., Jespersen, L. N., Andersen, T. H., & Grabowski, D. (2022). Exploring protective factors through positive psychology and salutogenesis in Danish families with type 2 diabetes. Health Promotion International, 37(2), 276-289.
Mirzania, A., Firoozi, M., & Saberi, A. (2021). The Efficacy of Time Perspective Therapy in Reducing Symptoms of Post-traumatic Stress, Anxiety, and Depression in Females with Breast Cancer. International Journal of Cancer Management, 14(12).65-78.
Moksnes, U.K., Espnes, G.A. & Lillefjell, M. (2012). Sense of coherence and emotional health in adolescents. Journal of Adolescence, (3), 433-441.
Mousavi, S., Hassanzadeh, R., & Dosti, Y. (2019/1398). The effectiveness of time perspective treatment on depression and social health of women with bereavement syndrome. Behavioral Science Research. 17 (2), 205-213. (In Persian)
Muradhasheli, T., & Khaltabari, J. (2020). Comparing the effectiveness of positive treatment with compassion-focused treatment on self-worth, well-being, responsibility and self-care of breast cancer patients. Islamic Studies in Health, 4(3), 39-60. (In Persian)
Murphy, J. (2008). The power of positive thinking. Translated by Razm Ara, Sepanj, Tehran. (2009/1388) (In Persian)
Nieto-Martinez, R., Gonzalez-Rivas, J.P., Medina-Inojosa, J.R., & Florez, H. (2017). Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis. Curr Diab Rep, 17(12), 138-148.
Niroomandi, R., Akbari, M., Ahmadian, H., & Bakhshipour Rudsari, A. (2018). The mediating role of resilience in the relationship between mindfulness and mental well-being of diabetic patients in Bonab city in 2017, a descriptive study. Journal of Rafsanjan University of Medical Sciences. 1399; 19 (8), 773-790(In Persian)
Parsa, A. (2013). The effect of positive thinking training on mental health and female high school students in Tehran, unpublished master's thesis, Faculty of Humanities, Payam Noor University. (In Persian)
Pouwer, F., Kupper, N., & Adriaanse, M.C. (2010). Does emotional stress cause type 2 diabetes mellitus? A review from the European Depression in Diabetes (EDID) Research Consortium .Discov Med, 9(45), 112-118.
Quilliam, S. (2003). Positive thinking and applied positivism. Translated by F, Barati Sadeh and A, Sadeghi, second edition, Tehran, Javane Rushd. (2011) (In Persian)
Rouse III, R. (1999). What's your perspective?. ACM SIGGRAPH Computer Graphics, 33(3), 9-12.
Sayadi Serini, M., Hojatkhah, S.M., & Rashidi, A. (2016/1395). Effectiveness of teaching positive thinking skills on psychological well-being and loneliness of elderly women. Psychology of Aging, 2(1), 61-71. (In Persian)
Seligman, M. (2010/1389) Inner happiness: positive psychology in the service of lasting satisfaction. Translated by M, Tabrizi; R. Karimi and A. Niloufri, Tehran, Danje Publishing. (In Persian)
Sharma, R. (2017). Global youth wellbeing index. available in .www.youthindex.org
Shostrom, E. L. (1968). EITS manual for the personal orientation inventory. Educational and Industrial Testing Service.
Siebert, Al. (2007). How to Develop Resilience Stregths. www.resiliencycenter.com.
Smith, K.J., Beland, M., Clyde, M., Gariepy, G., Page, V., Badawi, G., . . . Schmitz, N. (2013). Association of diabetes with anxiety: a systematic review and meta-analysis. J Psychosom Res, 74(2), 89-99.
Springgate, B.F., Wennerstrom, A., Meyers, D., Allen III, C.E., Vannoy, S.D., Bentham, W., et al. (2011). Building community resilience through mental health infrastructure and training in post. Katrina New Orleans. Ethnicity & disease Stolarski, M., Zajenkowski, M., Jankowski, K. S., & Szymaniak, K. (2020). Deviation from the balanced time perspective: A systematic review of empirical relationships with psychological variables. Personality and Individual Differences, (156), 109-126.
Stubbs, B., Vancampfort, D., De Hert, M., & Mitchell, A.J. (2015). The prevalence and predictors of type two diabetes mellitus in people with schizophrenia: a systematic review and comparative meta-analysis. Acta Psychiatr Scand, 132(2).144-157.
Sword, R.M., Sword, R.K., Brunskill, S.R., & Zimbardo, P.G. (2014). Time perspective therapy: A new time-based metaphor therapy for PTSD. Journal of Loss and Trauma, 19(3), 197-201
Tomich, P.L., & Tolich, A. (2021). Life is a balancing act: Deviation from a balanced time perspective mediates the relationship between lifetime trauma exposure and optimism. Current Psychology, 40(5), 2472-2480.
Vala, M., Rozmandeh, R., Rambad, C., Nesli Esfahani, A., & Qudsi Ghasemabadi, R. (2015). Mindfulness-based stress reduction group training on depression, anxiety, stress, self-confidence and hemoglobin A1c in young women with type 2 diabetes. Iran Journal of Endocrinology and Metabolism, Shahid Beheshti University of Medical Sciences and Health Services, 17 (5), 390-382. (In Persian)
Vancampfort, D., Mitchell, A. J., De Hert, M., Sienaert, P., Probst, M., Buys, R., & Stubbs, B. (2015). Prevalence and predictors of type 2 diabetes mellitus in people with bipolar disorder: a systematic review and meta-analysis. J Clin Psychiatry, 76(11), 1490-1499.
Zhang, J.W., Ryan, T., & Howell, R.T. (2011) Do time perspectives predict unique variance in life satisfaction beyond personality traits?. Personality and Individual Differences, (50), 1261-1266.
Zheng, X., & Wang, W. (2022). Time perspective in the self-regulatory mechanism of meaning in life. Journal of Happiness Studies, 23(2), 747-767.